Our wholesale & drop-shipping program is for resellers with valid Resale License or Tax ID registered in their local state or country. We reserve the right to request a copy for proof. We also accept applicants with their Social Security # and with $50 deposit refundable with the first purchase order.

Legal-Registered Company Name:*

Registered Company Address:*

Applicant's Name:*

Applicant's Corp. Title:*

Business Email:*

Confirm Bus. Email:*

Bus. Telephone Number:*

Alternate Tel# or Cell#:

Back-Up Contact Name:

Back-up Contact Tel#:

Federal/State Tax Id #:

(or) Social Security #:

Payment Method:

Credit Card (Preferred Method)

PayPal

Request Credit App.(Must Be in Business for 5 years)

Company Website/s:

How do you plan to resale our items?

Other Comments or Questions:

By typing your name here you acknowledge that you agree to our wholesale / drop ship policy and you submit your e-Signature: